Individual
MR. CARL FREDRICK OLTMAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1003 TYLER AVE, ANNAPOLIS, MD 21403-1909
(410) 991-0493
(410) 267-7892
Mailing address
1003 TYLER AVE, ANNAPOLIS, MD 21403-1909
(410) 991-0493
(410) 267-7892
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
COOO1407
MD
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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